Holly Hollembeak, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Byers, Colorado. Her current practice location is
404 E Front St, Byers, Colorado. You can reach out to her office (for appointments etc.) via phone at
(303) 822-5100.
Holly Hollembeak is licensed to practice in Colorado (license number 0994689) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063071496.
Provider's Profile
Full Name | Holly Hollembeak |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 404 E Front St, Byers, Colorado |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063071496
- Provider Enumeration Date: 06/10/2019
- Last Update Date: 03/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 8729317045
- Enrollment ID: I20190912000959
Medical Identifiers
Medical identifiers for Holly Hollembeak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063071496 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 0994689 (Colorado) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Holly Hollembeak allows following entities to bill medicare on her behalf.
Entity Name | Lincoln Community Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720107519 PECOS PAC ID: 8729987219 Enrollment ID: O20161208000347 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Holly Hollembeak is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Holly Hollembeak, NURSE PRACTITIONER Po Box 248, Hugo, CO 80821-0248 Ph: (719) 743-2421 | Holly Hollembeak, NURSE PRACTITIONER 404 E Front St, Byers, CO 80103-9727 Ph: (303) 822-5100 |
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